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308 N Tecumseh Wauneta NE 69045-9509 | |
(308) 394-5593 | |
(308) 394-5596 |
Full Name | |
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Speciality | Clinic/Center |
Location | 308 N Tecumseh, Wauneta, Nebraska |
Authorized Official Name and Position | Abigail J. Cyboron (CEO) |
Authorized Official Contact | 3088827111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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308 N Tecumseh Wauneta NE 69045-9509 Ph: (308) 394-5593 | 308 N Tecumseh Wauneta NE 69045-9509 Ph: (308) 394-5593 |
NPI Number | 1558429472 |
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Provider Enumeration Date | 12/04/2006 |
Last Update Date | 04/28/2020 |
Medicare PECOS PAC ID | 2567436736 |
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Medicare Enrollment ID | O20050325000259 |
Identifier | Type | State | Issuer |
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1558429472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |